Organization
SMILE STRAIGHT ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ZWICKY (CREDENTIALING MANAGER)
(480) 866-8811
Entity
Organization
Contact information
Practice address
5867 N MESA ST, STE B, EL PASO, TX 79912-4677
(915) 504-6868
Mailing address
5867 N MESA ST, STE B, EL PASO, TX 79912-4677
(915) 504-6868
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25043
TX
Other
Enumeration date
02/08/2011
Last updated
08/22/2023
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